Business Solutions Consultant jobs at HCSC

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is hybrid (3 days a week in the office) This Position Is Responsible For Provider Recruitment And Contracting Of Physicians, Physician Groups And Facilities Including Large Or Complex Groups/Facilities (Large Independent Hospital Systems, Integrated & Non-Integrated Systems, Value Based Contracting, Etc). Develop And Negotiate Contracts. Develop And Maintain Relationships With Providers. Ensure Strategic Coverage For Assigned Territory. Responsible For Education Of Providers And For Ongoing Provider Service. Provide Subject Matter Expertise To Improve Efficiencies And Results. Job Description 1.Work with internal departments to ensure appropriate implementation of executed agreements.2.Analyze financial reports to determine financial impact of negotiations.3.Develop and negotiate agreements with providers and facilities (including large independent hospital systems, integrated & non-integrated systems, value based contracting, etc.) within assigned territory of responsibility. 4.Responsible for maintaining a professional relationship with key provider groups. Ensure effective liaison and rapport is developed and maintained through meetings, correspondence and telephone calls.5.Ensure strategic objectives are being met with regard to physicians, physician groups and facilities needed for assigned territory(s). Ensure appropriate provider services including working across departments to resolve issues. 6.Oversee the servicing of facilities, large groups, and/or capitated entities to include assisting with eligibility and capitation issues, contracting issues, and bonus arrangements. Serves as a liaison between internal departments and the capitated entity.7.Work with delegated entities to ensure that providers are loaded correctly. Work closely with the delegation oversight department regarding the delegated entity reporting requirements to include claims delegation, utilization management delegation and credentialing delegation.8.Respond to provider inquiries in an effective and timely manner and assist in claims resolution and payment problems. Must work closely with the Pricing, Full Service Units, Utilization Management, Medical, Delegation Oversight, Core Credentialing, Provider Automation and other divisions within the company.9.Provide leadership regarding negotiation of rates for traditional and managed care business. Conduct and assist in the negotiation process and assure that providers are kept informed of pertinent changes in policies and procedures. Coordinate appropriate education/in-servicing is provided for providers. Education may pertain to managed care and areas where pertinent rulings/regulations could affect business.10.Explain corporate policies and procedures to contracted providers; counsel with provider's staff to ensure their familiarity with Blue Cross procedures.11.Establish and maintain relationships with assigned providers through personal visits, correspondence and telephone calls.12.Serve as a mentor/teacher regarding the activities of staff.13.Serve on local and corporate committees and task forces that require input from Network Management Department. Participate in trade association meetings, as required. 14.Transform fee for service contracts to fee for value.15.Develop reports and analyze performance outcomes. 16.Ensure all expenditures comply with corporate and divisional expense guidelines.17.Communicate and interact effectively and professionally with co-workers, management, customers, etc.18.Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.19.Maintain complete confidentiality of company business.20.Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested. JOB REQUIREMENTS: *Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates. *Extensive knowledge of provider and facility contracting, products, and claims/processing systems. *Negotiation skills. *Relationship building skills. *Knowledge of marketplace. *Meet deadlines and work well under pressure. *Verbal and written communication skills to interact with all levels of corporate personnel and providers. *PC proficiency to include Microsoft Office. *Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations. *Ability and willingness to travel within assigned areas of responsibility, including overnight stays. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $90,900.00 - $164,200.00 Exact compensation may vary based on skills, experience, and location.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Senior Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support medical drug business and clinical and stakeholders. This role will be accountable for the analytical support and consultancy of internal customers and advisory service for internal senior leaders. **Requir** **ed Job Qualifications:** + Bachelor's degreeand 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhDwith 2 years of experiencein health care services, statistical analysis, or insurance industry economics or related field OR 10 years of experience in health care services, statistical analysis, or insurance industry economics or related field + Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights. + Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc. + Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life and, ability to work under pressure and delivery high quality output to senior leadership to decision making within short timeline. + Ability to create a dynamic and visually engaging dashboard leveragingdata visualization tools such as Tableau or Power BI + High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution. + Experience leading an analytic initiative to success. + Excellent communication and presentation skills. + Ability to work independently and as part of a team. **Preferred Job Qualifications:** + Experience with project management methodologies. + Experience of Healthcare industry - payor, provider, pharmacy + Experience with version control/collaborative tools, such as GitHub + Experience with automation tools, such as Alteryx. **This is a Flex role (3 days in office; 2 days work from home).** **Sponsorship is not available.** \#LI-PD1 \#LI-HYBRID INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $82,700.00 - $149,300.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Provides expert content/professional leadership on complex Business Analytics assignments/projects. Works in collaboration with business leaders to provide strategic partnership in analytics, identify and prioritize opportunities for impact, develop analytic solutions, leverage data science and technology capabilities, embed analytics-driven processes, operationalize and measure impact, to support decision making and execution based on data, facts and analytical findings across different parts of the organization. Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Uses deep professional knowledge and acumen to advise functional leaders. Focuses on providing thought leadership within Business Analytics but works on broader projects, which require understanding of wider business. Recognized internally as a subject matter expert. Responsibilities Perform standard ETL process and reporting for Account teams and Prospects Query data warehouse(s) using variety of tools available Extract data and manipulate into reports for client both internal and external Ability to assist in identification and development of automated solutions for process improvements Develop new reports, models, and analytic solutions with innovative ways to present data in order to support New Sales and Account Management teams. Consult with customers and stakeholders to help understand and interpret data requirements, issues and data requests Collaborate with multiple departments across the company including Sales and Account Management, Finance, Proposals, Pricing, Underwriting, Rebates, Retail Networks and internal Knowledge Solutions areaa Facilitate hand-offs between multiple areas and will be asked to provide SME support on multiple projects/initiativeshis will include project prioritization, timeline tracking and col Oversee and manage multiple projects and initiatives; negotiate timelines/priority with stakeholders projects Effectively communicate goals, outcomes, direction to all stakeholders including internal employees Qualifications 2+ years' of relevant working experience Experience doing ETL with SQL and Alteryx Knowledge of Python, Tableau and/or SAS EG are pluses Knowledge of AWS, Snowflake, Databricks and other Cloud-based platforms are pluses Experience with developing & automating technical processes Experience in querying data and understanding relational databases Experience with Microsoft Office software Strong business and organizational skills Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines Solid customer service, technical, analytical, and communication skills required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 96,000 - 160,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Provides expert content/professional leadership on complex Business Analytics assignments/projects. Works in collaboration with business leaders to provide strategic partnership in analytics, identify and prioritize opportunities for impact, develop analytic solutions, leverage data science and technology capabilities, embed analytics-driven processes, operationalize and measure impact, to support decision making and execution based on data, facts and analytical findings across different parts of the organization. Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives. Uses deep professional knowledge and acumen to advise functional leaders. Focuses on providing thought leadership within Business Analytics but works on broader projects, which require understanding of wider business. Recognized internally as a subject matter expert. **Responsibilities** + Perform standard ETL process and reporting for Account teams and Prospects + Query data warehouse(s) using variety of tools available + Extract data and manipulate into reports for client both internal and external + Ability to assist in identification and development of automated solutions for process improvements + Develop new reports, models, and analytic solutions with innovative ways to present data in order to support New Sales and Account Management teams. + Consult with customers and stakeholders to help understand and interpret data requirements, issues and data requests + Collaborate with multiple departments across the company including Sales and Account Management, Finance, Proposals, Pricing, Underwriting, Rebates, Retail Networks and internal Knowledge Solutions areaa + Facilitate hand-offs between multiple areas and will be asked to provide SME support on multiple projects/initiativeshis will include project prioritization, timeline tracking and col + Oversee and manage multiple projects and initiatives; negotiate timelines/priority with stakeholders projects + Effectively communicate goals, outcomes, direction to all stakeholders including internal employees **Qualifications** + 2+ years' of relevant working experience + Experience doing ETL with SQL and Alteryx + Knowledge of Python, Tableau and/or SAS EG are pluses + Knowledge of AWS, Snowflake, Databricks and other Cloud-based platforms are pluses + Experience with developing & automating technical processes + Experience in querying data and understanding relational databases + Experience with Microsoft Office software + Strong business and organizational skills + Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines + Solid customer service, technical, analytical, and communication skills required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 96,000 - 160,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is hybrid (3 days a week in the office) This Position Is Responsible For Provider Recruitment And Contracting Of Physicians, Physician Groups And Facilities Including Large Or Complex Groups/Facilities (Large Independent Hospital Systems, Integrated & Non-Integrated Systems, Value Based Contracting, Etc). Develop And Negotiate Contracts. Develop And Maintain Relationships With Providers. Ensure Strategic Coverage For Assigned Territory. Responsible For Education Of Providers And For Ongoing Provider Service. Provide Subject Matter Expertise To Improve Efficiencies And Results. Job Description 1.Work with internal departments to ensure appropriate implementation of executed agreements.2.Analyze financial reports to determine financial impact of negotiations.3.Develop and negotiate agreements with providers and facilities (including large independent hospital systems, integrated & non-integrated systems, value based contracting, etc.) within assigned territory of responsibility. 4.Responsible for maintaining a professional relationship with key provider groups. Ensure effective liaison and rapport is developed and maintained through meetings, correspondence and telephone calls.5.Ensure strategic objectives are being met with regard to physicians, physician groups and facilities needed for assigned territory(s). Ensure appropriate provider services including working across departments to resolve issues. 6.Oversee the servicing of facilities, large groups, and/or capitated entities to include assisting with eligibility and capitation issues, contracting issues, and bonus arrangements. Serves as a liaison between internal departments and the capitated entity.7.Work with delegated entities to ensure that providers are loaded correctly. Work closely with the delegation oversight department regarding the delegated entity reporting requirements to include claims delegation, utilization management delegation and credentialing delegation.8.Respond to provider inquiries in an effective and timely manner and assist in claims resolution and payment problems. Must work closely with the Pricing, Full Service Units, Utilization Management, Medical, Delegation Oversight, Core Credentialing, Provider Automation and other divisions within the company.9.Provide leadership regarding negotiation of rates for traditional and managed care business. Conduct and assist in the negotiation process and assure that providers are kept informed of pertinent changes in policies and procedures. Coordinate appropriate education/in-servicing is provided for providers. Education may pertain to managed care and areas where pertinent rulings/regulations could affect business.10.Explain corporate policies and procedures to contracted providers; counsel with provider's staff to ensure their familiarity with Blue Cross procedures.11.Establish and maintain relationships with assigned providers through personal visits, correspondence and telephone calls.12.Serve as a mentor/teacher regarding the activities of staff.13.Serve on local and corporate committees and task forces that require input from Network Management Department. Participate in trade association meetings, as required. 14.Transform fee for service contracts to fee for value.15.Develop reports and analyze performance outcomes. 16.Ensure all expenditures comply with corporate and divisional expense guidelines.17.Communicate and interact effectively and professionally with co-workers, management, customers, etc.18.Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.19.Maintain complete confidentiality of company business.20.Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested. JOB REQUIREMENTS: *Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates. *Extensive knowledge of provider and facility contracting, products, and claims/processing systems. *Negotiation skills. *Relationship building skills. *Knowledge of marketplace. *Meet deadlines and work well under pressure. *Verbal and written communication skills to interact with all levels of corporate personnel and providers. *PC proficiency to include Microsoft Office. *Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations. *Ability and willingness to travel within assigned areas of responsibility, including overnight stays. **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $90,900.00 - $164,200.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

We are looking for a candidate to conduct advanced and exploratory analytics, generating actionable insights and resources to strategically design and/or enhance pay for performance programs. Responsibilities Collaborate and work closely with stakeholders to design and evaluate VBC programs with a focus on Specialty VBC. Example areas include Nephrology, hospital Accountable Care Organization (ACO) programs, Episodes of Care/Bundle programs, Oncology Medical Home, etc. Design and build financial models under supervision for new VBC programs and build and manage annual reconciliation for pilot and mature programs. Apply robust and appropriate statistical and clinical rigor using advanced analytic techniques including but not limited to risk adjustment, episode analytics, statistical modeling, power analysis, matched case control studies etc. Derive actionable insights from healthcare data (claims, clinical, pharmacy, externally sourced) to engage and enable our provider/clinical partners. Work with IT partners to deploy actionable insight into accessible solutions for our provider/clinical partners. Present analytic findings and recommendations to technical and non-technical business partners and leadership to drive data driven strategies. Explore innovative solutions to business questions/problems Qualifications This position requires healthcare and insurance content knowledge, analytics expertise with a focus on data extraction, data analytics and financial modeling and VBC expertise to support Cigna's affordability strategy 5+ years' experience in related healthcare analytics or VBC research Strong technical skills required to extract, transpose, and analyze Big Data housed in Databricks and Teradata using SQL and Python, SAS or R Strong Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data) Strong medical economics and healthcare financial modeling experience Knowledge of ACO, bundles, episodes, etc. is required Statistical training in school or through work (ability to formulate and execute appropriate confidence intervals, power analysis, bootstrapping, regression modeling, etc.) required Advanced visualization skills using Tableau, Python or R preferred Ability to consistently deliver on-time while managing multiple projects at the same time Ability to work under supervision as well as independently based on project requirements Ability to successfully navigate and contribute in a highly matrixed environment Enjoys problem solving and creating innovative solutions Strong verbal and written communication skills Advanced degree or equivalent experience in Statistics, Biostatistics, Economics, Epidemiology, Health Outcomes Research, Actuarial Science, or Data Science is highly desirable If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 96,000 - 160,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for leading the team with all divisional short-term and long-term planning initiatives related to Commercial and Individual & Family markets provider network strategy and executing the business plan. This position will lead major, complex, and strategic network initiatives from inception to completion leveraging analytics to drive financial outcomes. This position will use internal and external sources to conduct Commercial and ACA network analyses to deliver competitive market strategy for the division. By having a strong foundational understanding of network composition and performance levers, this position will lead network optimization and member retention strategic initiatives. **Required Job Qualifications:** + Bachelor degree and 6 years experience in health care, health insurance, or strategic consulting environment **_OR_** Bachelor degree and 5 years consulting experience involving strategic planning, business development and financial management operations **_OR_** 8 years of experience strategic planning, market research, network management, or product development in health care industry. + Experience leading and formulating strategy with the ability to build strong connections with people and teams. + Drive results by working across departments in matrixed environment. + Interpersonal skills, including presentation, written and verbal communication. + Experience with business analytics and information synthesis. + Knowledge of strategic planning techniques and industry trends. + Able to work within a very fast-paced, quickly evolving organization and manage multiple, complex priorities. + Work directly with corporate leadership. + Analytical, program management and problem solving skills. **Preferred Job Qualifications:** + Advanced degree such as MBA or MHA. + Strong knowledge of ACA health plan strategy, provider networks, key performance indicators, financial acumen, and benefit design. + Strong knowledge of Commercial health plan strategy, provider networks, key performance indicators, financial acumen, and benefit design. + Strong executive-level communication, presentation, and writing skills. + Experience leading complex conceptual cross-functional initiatives. + Ability to articulate complex information to leadership stakeholders in a simple and straightforward manner. + Ability to proactively identify and resolve complex problems with minimal oversight. + Ability to see and understand "the big picture". + Strong desire to be part of high energy, positive, fast-paced, forward thinking, and collaborative team culture. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote, (Chicago)** **Sponsorship is not available.** \#LI-SG1 \#LI-Hybrid **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $90,900.00 - $164,200.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for assisting with leading the team with all divisional short-term and long-term planning, assisting the leadership team on executing the business plan, strategies, analytics, and data needs for the division and working with divisional leadership on strategies and business plans for functional areas. Working with enterprise areas to ensure there is alignment with the divisional strategy. Documenting and conducting analysis of competitive and market information for the division and ensuring integration with overall strategy. **Required Job Qualifications** : * Bachelor's degree and 6 years' experience in health care, health insurance, or strategic consulting environment OR Bachelor degree and 5 years consulting experience involving strategic planning, business development and financial management operations. OR 8 years of experience strategic planning, market research, network management, or product development in health care industry. * Experience leading and formulating strategy with the ability to build strong connections with people and teams. * Drive results by working across departments in matrixed environment. * Interpersonal skills, including presentation, written and verbal communication. * *Experience with business analytics and information synthesis. * Knowledge of strategic planning techniques and industry trends. * *Able to work within a very fast-paced, quickly evolving organization and manage multiple, complex priorities. * *Work directly with corporate leadership. * *Analytical, program management and problem-solving skills. **Preferred Job Qualifications:** * Advanced degree such as MBA, MHA or MS-HSM \#LI-Hybrid \#LI-AS1 **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $90,900.00 - $164,200.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position will lead divisional short and long-term initiatives related to Commercial and Individual & Family Markets provider network strategy and leverage analytics to drive provider network solutions. This position will support major, complex, and strategic network initiatives from inception to completion. This position will analyze Commercial and ACA network data using internal and external sources to support the prioritization of divisional initiatives and track progress to goals. By developing an understanding of existing network composition and performance, this position will support network optimization and membership retention. This team member will be a subject matter expert, influencing recommended program changes by analyzing and presenting network performance metrics to cross-functional leadership. **Required Job Qualifications:** + Bachelor Degree and 5 years experience in strategic planning, market research, network management, or product development, in health care industry OR consulting OR Master/Professional Degree and 4 years of experience strategic planning, market research, network management, or product development in health care industry OR consulting OR 7 years of experience strategic planning, market research, network management, or product development in health care industry. + Project management skills, including strong organization, prioritization and problem solving skills; strong oral, verbal and interpersonal communication skills; ability to accept direction and feedback + Experience with business analytics and information synthesis. + Knowledge of strategic planning techniques and industry trends + Experience managing complex corporate projects in a matrixed environment. + Demonstrated organization, prioritization, problem solving, communication skills including presentation and group facilitation experience. + Experience interacting with staff/management across multiple departments at various levels in the organization; + Verbal and written communication skills. + Presentation and group facilitation experience. + PC proficiency to include Word, Excel, PowerPoint, Access, with strong Excel skills. **Preferred Job Qualifications:** + Masters Degree. + Health insurance or healthcare industry experience. + Experience optimizing provider networks or evaluating provider performance. + Commercial Fully Insured or Individual & Family Markets experience. + Strong knowledge of ACA health plan strategy, provider networks, key performance indicators, financial acumen, and benefit design. + Strong executive-level communication, presentation, and writing skills. + Experience solutioning for complex conceptual cross-functional initiatives. + Ability to articulate complex information to external and internal leadership stakeholders in a simple and straightforward manner. + Ability to proactively identify and resolve complex problems with minimal oversight. + Ability to see and understand the "big picture". + Strong desire to be a part of high energy, positive, fast paced, forward thinking, and collaborative team culture. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** **Sponsorship is not available.** \#LI-SG1 \#LI-Hybrid **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $60,300.00 - $133,400.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support clinical and business stakeholders. This role will be accountable for the analytical support and consultancy of internal/external customers, as well as advisory service for internal/external senior leaders. **Required Job Qualifications:** + Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field + Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights. + Performance excellence in computer languages, such as SQL, R, Python. + Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI. + High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution. + Excellent communication and presentation skills. + Ability to work independently and as part of a team. + Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life. **Preferred Job Qualifications:** + Experience with project management methodologies. + Experience of Healthcare industry - mainly pharmacy related claims. + Experience with Medicare Part D and CMS STARS medication adherence measures. + Experience with programming languages/collaborative tools, such as Databricks, GitHub and Toad. + Experience with automation tools, such as Airflow. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** **Sponsorship is not available.** \#LI-MW2 \#LI-Hybrid **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $60,300.00 - $133,400.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** Job Purpose: This position is part of the Center for Responsible AI and AI Governance support function and is responsible for the execution of activities to support the enterprise AI Governance program. Responsible for creating and maintaining AI governance operational dashboards to track and monitor projects in the AI governance process. This role collects, organizes, analyzes, and reports information to management, and supports the evolution of the AI governance processes, policies, and procedures. **Required Job Qualifications:** **Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field** **Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights.** **Performance excellence in computer languages, such as SQL, R, Python.** **Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Power BI.** **High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution.** **Excellent communication and presentation skills.** **Ability to work independently and as part of a team.** **Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life.** **Preferred Job Qualifications:** **Three (3+) year's experience in a data and analytics role where strong detail orientation was required.** **Two (2+) years of experience in data visualization and building dashboards, particularly with Power BI.** **Strong Proficiency in MS Excel, and PowerPoint.** **Project management skills, including planning, execution, monitoring, and closing projects, as well as needs assessment, solution design, and recommendations.** **Familiarity with AI and governance concepts.** **Effective time management, prioritization, and decision-making skills.** **Experience in defining success criteria and establishing metrics/KPIs.** **Understanding of IT/IS laws and regulations (e.g., HIPAA) and governance frameworks (e.g., NIST, COBIT, ITIL, HITRUST).** **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $60,300.00 - $133,400.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position will support business readiness activities across large-scale technology transformation programs in Medicare, including the separation from Cigna and the platform integration with legacy HCSC. This position is responsible for providing business analysis and guidance to ensure alignment and integration across functional areas in support of client success and to ensure consistency and efficiency. As a Senior Business Consultant, you will support implementation of initiatives with high complexity that affect multiple functional areas within the division. Supports the prioritization of divisional activities and tracks progress to goals. Success in this role will depend on your ability to autonomously drive initiatives and deliver results. Your expertise will help shape the strategic direction of the organization and deliver significant value to both internal and external stakeholders. + Bachelor's degree and 5 years of experience OR 9 -10 years of experience in healthcare business, project management, or customer service, with a demonstrated ability to lead complex projects and influence senior leadership. + Expertise in data interpretation and strategic decision-making. + Exceptional communication skills, with experience in engaging with senior executives and managing high-stakes client relationships. + Proficiency in project management methodologies and advanced data analysis and visualization tools. + Proven track record of driving business transformation and process optimization. + Strong critical thinking and problem-solving abilities, with a proactive approach to overcoming challenges and fostering continuous improvement. + Commitment to professional development and thought leadership, with a keen interest in staying ahead of industry trends. **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $66,300.00 - $124,500.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Serve as key healthcare economics and analytics contact for local, regional, and national OptumCare leadership * Lead projects to develop new project models or enhancements to existing models, leveraging data from multiple sources * Identify and implement appropriate analytic and modeling methodologies * Develop, produce and support comprehensive data visualization tools and dashboards that enables efficient communication of data-driven insights * Solve complex problems and develop innovative, sustainable solutions * Assist in the management of DataMart architecture that can support analytic insights and Key Performance Indicators * Work with a variety of teams to identify areas of opportunity in order to drive financial performance of programs * Provides consistent and timely communication on projects, results and conclusions from analyses. Apply feedback into future iterations and new analytic development * Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish * Serve as a senior member of analytics team in mentoring junior consultants and analysts You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * High School Diploma/GED (or higher) * 5+ years of healthcare analytics experience that focused on healthcare data, and expertise in data visualization (Tableau, PowerBI or similar), data analysis, data manipulation, data extraction, statistical analysis and reporting in a data warehouse environment * 5+ years of experience creating SQL queries including data querying, manipulation and transformation, table creation, complex joins across multiple sources, subquery, indexing, and summary reporting * 5+ years of experience in advanced Proficiency with MS Excel including PowerPivot, Data Models, DAX, etc Preferred Qualifications: * Bachelor's Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field * Proficiency using Tableau (PowerBI or similar) * Proficient at query techniques to access complex relational databases to develop sophisticated datasets resulting in insightful analytics * Ability to multitask, prioritize, adapt to change, work well in a fast-paced environment, meet deadlines, and manage a project from start to finish * Demonstrated ability to meet tight deadlines, follow development standards and effectively raise critical issues with potential solutions * Proficient in assessing customer needs and making required enhancements to analyses and dashboards. * Strong verbal and written communication skills, including ability to present ideas and concepts effectively * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.** You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Serve as key healthcare economics and analytics contact for local, regional, and national OptumCare leadership + Lead projects to develop new project models or enhancements to existing models, leveraging data from multiple sources + Identify and implement appropriate analytic and modeling methodologies + Develop, produce and support comprehensive data visualization tools and dashboards that enables efficient communication of data-driven insights + Solve complex problems and develop innovative, sustainable solutions + Assist in the management of DataMart architecture that can support analytic insights and Key Performance Indicators + Work with a variety of teams to identify areas of opportunity in order to drive financial performance of programs + Provides consistent and timely communication on projects, results and conclusions from analyses. Apply feedback into future iterations and new analytic development + Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish + Serve as a senior member of analytics team in mentoring junior consultants and analysts You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High School Diploma/GED (or higher) + 5+ years of healthcare analytics experience that focused on healthcare data, and expertise in data visualization (Tableau, PowerBI or similar), data analysis, data manipulation, data extraction, statistical analysis and reporting in a data warehouse environment + 5+ years of experience creating SQL queries including data querying, manipulation and transformation, table creation, complex joins across multiple sources, subquery, indexing, and summary reporting + 5+ years of experience in advanced Proficiency with MS Excel including PowerPivot, Data Models, DAX, etc **Preferred Qualifications:** + Bachelor's Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field + Proficiency using Tableau (PowerBI or similar) + Proficient at query techniques to access complex relational databases to develop sophisticated datasets resulting in insightful analytics + Ability to multitask, prioritize, adapt to change, work well in a fast-paced environment, meet deadlines, and manage a project from start to finish + Demonstrated ability to meet tight deadlines, follow development standards and effectively raise critical issues with potential solutions + Proficient in assessing customer needs and making required enhancements to analyses and dashboards. + Strong verbal and written communication skills, including ability to present ideas and concepts effectively *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. **_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._ _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #GREEN

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** The Consultant Relations Manager is responsible for building and maintaining solid relationships with HBA/CDH consultants and advisory firms. This role focuses on promoting Optum's HBA strategies, securing favorable ratings, and driving growth through consultant engagement. The position requires deep knowledge of HBA/CDH consultants, excellent communication skills, and strategic relationship management. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** Relationship Management: + Develop and maintain relationships with key HBA/CDH consultants and research analysts + Serve as the primary point of contact for consultants regarding Optum's products and capabilities + Drive industry awareness of Optum Financial HBA products Strategic Planning: + Identify and prioritize consulting firms based on strategic importance + Create and execute business plans to increase consultant engagement and product placement Product Knowledge & Advocacy: + Gain a thorough understanding of Optum's HBA strategies and competitive positioning + Present product information and updates to consultants to secure positive ratings Data & Reporting: + Maintain consultant databases with accurate product and relationship information + Track consultant ratings, feedback, and engagement metrics to inform strategy Collaboration: + Work closely with internal teams (sales, marketing, product) to align consultant strategies with broader business goals + Support capital-raising initiatives by leveraging consultant relationships Industry Engagement: + Attend industry conferences, consultant-sponsored events, and networking opportunities to enhance visibility and strengthen relationships You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High level of understanding health benefit accounts and the healthcare industry and consultant market + Proven strategic thinking and relationship-building skills + Demonstrated analytical ability to interpret consultant feedback and market trends + Proven high level of professionalism and integrity + Driver's License and access to reliable transportation + Ability to travel nationally 50% of the time. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.** You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Serve as key healthcare economics and analytics contact for local, regional, and national OptumCare leadership + Lead projects to develop new project models or enhancements to existing models, leveraging data from multiple sources + Identify and implement appropriate analytic and modeling methodologies + Develop, produce and support comprehensive data visualization tools and dashboards that enables efficient communication of data-driven insights + Solve complex problems and develop innovative, sustainable solutions + Assist in the management of DataMart architecture that can support analytic insights and Key Performance Indicators + Work with a variety of teams to identify areas of opportunity in order to drive financial performance of programs + Provides consistent and timely communication on projects, results and conclusions from analyses. Apply feedback into future iterations and new analytic development + Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish + Serve as a senior member of analytics team in mentoring junior consultants and analysts You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High School Diploma/GED (or higher) + 5+ years of healthcare analytics experience that focused on healthcare data, and expertise in data visualization (Tableau, PowerBI or similar), data analysis, data manipulation, data extraction, statistical analysis and reporting in a data warehouse environment + 5+ years of experience creating SQL queries including data querying, manipulation and transformation, table creation, complex joins across multiple sources, subquery, indexing, and summary reporting + 5+ years of experience in advanced Proficiency with MS Excel including PowerPivot, Data Models, DAX, etc **Preferred Qualifications:** + Bachelor's Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field + Proficiency using Tableau (PowerBI or similar) + Proficient at query techniques to access complex relational databases to develop sophisticated datasets resulting in insightful analytics + Ability to multitask, prioritize, adapt to change, work well in a fast-paced environment, meet deadlines, and manage a project from start to finish + Demonstrated ability to meet tight deadlines, follow development standards and effectively raise critical issues with potential solutions + Proficient in assessing customer needs and making required enhancements to analyses and dashboards. + Strong verbal and written communication skills, including ability to present ideas and concepts effectively *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. **_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._ _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #GREEN

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position will support business readiness activities across large-scale technology transformation programs in Medicare, including the separation from Cigna and the platform integration with legacy HCSC. This position is responsible for providing business analysis and guidance to ensure alignment and integration across functional areas in support of client success and to ensure consistency and efficiency. As a Senior Business Consultant, you will support implementation of initiatives with high complexity that affect multiple functional areas within the division. Supports the prioritization of divisional activities and tracks progress to goals. Success in this role will depend on your ability to autonomously drive initiatives and deliver results. Your expertise will help shape the strategic direction of the organization and deliver significant value to both internal and external stakeholders. * Bachelor's degree and 5 years of experience OR 9 -10 years of experience in healthcare business, project management, or customer service, with a demonstrated ability to lead complex projects and influence senior leadership. * Expertise in data interpretation and strategic decision-making. * Exceptional communication skills, with experience in engaging with senior executives and managing high-stakes client relationships. * Proficiency in project management methodologies and advanced data analysis and visualization tools. * Proven track record of driving business transformation and process optimization. * Strong critical thinking and problem-solving abilities, with a proactive approach to overcoming challenges and fostering continuous improvement. * Commitment to professional development and thought leadership, with a keen interest in staying ahead of industry trends. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $66,300.00 - $124,500.00 Exact compensation may vary based on skills, experience, and location.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This role is responsible for supporting development and growth of positive, long-term relationships with physicians, providers, multi specialty clinics, and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Vertical Leader works to identify the business plan and will have growth objectives. They will navigate the C Suite and execution of strategies in conjunction with the HCSC Contracting teams. assignments involves complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. REQUIRED QUALIFICATIONS: * Bachelor's Degree with 5-7 years experience in a Healthcare or Managed Care environment, including 3 or more years of hands-on experience in Provider Contracting, Network Management, or Provider Relations * Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies * Demonstrated ability to manage multiple projects and meet deadlines * Must be passionate about contributing to an organization focused on continuously improving consumer experiences * Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance * Detail oriented professional with excellent written and verbal communication skills * CMS regulatory requirements, including Medicare Marketing Guidelines * Experience with Medicare products (including Medicare Advantage, Medicare Prescription Drug Plan (PDP) and Medicare Supplement products) This is a Flex (Hybrid) role: 3 days in office; 2 days remote. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $60,300.00 - $133,400.00 Exact compensation may vary based on skills, experience, and location.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for assigned territory. Specific responsibilities include small to mid-size contract negotiations for small hospitals, physicians and physician groups and developing and maintaining relationships with providers. This role will also provide support for complex hospital and physician contracting activities. In addition, this person will handle the provider termination process. Ability and willingness to travel within assigned territory, including overnight stays. Required Job Qualifications: * Bachelor's degree and at least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one year experience developing and negotiating provider contracts. * Meets deadlines and work well under pressure * Verbal and written communication skills, organizational and planning skills * PC proficiency to include Microsoft Office * Analytical skills * Ability and willingness to travel within assigned territory, including overnight stays Preferred Job Qualifications: * Bachelor's degree in business * Project Management experience This is a Flex (Hybrid) role: 3 days in office; 2 days remote. Sponsorship is not available. #LI-MW2 #LI-Hybrid Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $54,800.00 - $121,100.00 Exact compensation may vary based on skills, experience, and location.